Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.

More about Dr. Jalaja Ramesh

Dr. Jalaja Ramesh is one of the best Endocrinologists in Mylapore, Chennai. You can consult Dr. Jalaja Ramesh at St.Isabel's Hospital in Mylapore, Chennai. You can book an instant appointment online with Dr. Jalaja Ramesh on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Hello, You cannot escape diabetes, as it is not a disease but it is a disorder. By following a good diet and maintaining ideal body weight and exercising regularly, you can reduced the chances, of getting it. Unexplained thirst, frequent urination, unexplained weight loss, excessive, hunger, lethargyness are some, underlying symptoms, but sometimes it can, just be asymptomatic.

Hi
Frozen shoulder or adhesive capsulitis is a condition in which shoulder movements get progressively decreased, it is commonly associated with diabetes although association with other conditions is also known.
Treatment includes intensive physical therapy, short course anti inflammatory medications according to one's suitability and maintanence of calcium/ vitamin d metabolism.

IN HYPOTHYROIDISM:---
where there is deficiency of thyroxine hormone leading to sluggishness,
tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and
face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is
giving thyroxine tablets. And dose are according to level of thyroid for life time.
Avoid bad habits . Avoid stress. Some Relax during work.
Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta
and bread.
Nutrient-rich foods that improve your health may also benefit your thyroid gland,
antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell
peppers, and other foods rich in antioxidants can improve overall health and benefit the
thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil,
Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial.
Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.

you shoul be take medicines for uric acid if you did not take rise uic acid level and more pain in joints. so take tab. zyloric 100 mg once a day for continue ..for control pain you can take tab. naprosyn 500 mg sos. you can do MRI for confirm cause of pain in shoulder and neck.

Normally if is of burning sensation it is of nerve deficit or lesion or of pathological reasons better rule out gout arthritis or lumbosacral spine lesions etc, regarding home remedies do have ice fomentation or compression thrice a day for 5days of 15 minutes duration each time or do follow for private consultation via lybrate.

There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile,

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS

Endocrinologist

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If you are already on oral medicines & your sugar levels are as mentioned, I feel the best option would be insulin. However, if you have been diagnosed with type 2 diabetes just now, you could try tab janumet xr cp 50/1000 once in the morning along with tab voglinorm 0.3 mg thrice daily with meals. Repeat fbs & ppbs after 2 weeks.

For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week.

if your tsh level is 6.1 m units/ml, it is high, it means you are having hypothyroidism, which needs to be treated forthwith. You have to start on thyroxine tablets, dosage will depend on your weight and tsh levels. The treatment is for life time. Plus you have take certain precautions like avoiding weight increase, exercise regularly and take healthy diet.

Avoid stress. Some Relax during work.
Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread.
You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland,
antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help.
Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial.
Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.

Hi, if you are on treatment for hypothyroidism, then tsh levels should be around 3 to 4 milli units / l and if you want to get conception then tsh levels should be 0.1 to 2.0 milli units/l and through out pregnancy again the levels have to be around 2 milli units only. If tsh levels go higher, fetal growth is affected, miscarriages may occur, over all pregnancy out comes are bad. So please keep that in mind and then plan for pregnancy. Thanks for the question.

milk products have high purine ..
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg.,
take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.
Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day.

Hi , when diabetes and hypertension are togather don`t rely only on food. Even though you should take low salt, low carbohydrate, and low fat containing diet. Also avoid spicy and fried food. And control your weight, stop smoking if you are doing. Avoid achar, papad etc. Do regular exercise advised by your physician after doing cardiac work up. Remain stress free and enjoy life.

Balanced diet helps in controlling all disease and nutritional deficiencies aggrevate them. Abundand fruits and vegetables in diet have all essential nutrients with best bioavailability to the body. And so this diet is the balanced and most natural diet. This normalises weight, nutrients and balance in the body.
Breakfast= fruits only. Abundant amount. Lunch/dinner= half plate salad, 1 katori sprouts, green vegetables 2 to 3 katori, daal 2 to 3 katori, only 1 roti in one meal.
Evening time fruits are also good.
Stop having: milk, milk products, refined foods, packaged food of any kind like bread namkeen buiscuits maida etc. As these have all kinds of adulteration now a days with reports of urea level exceeding the limit even in mother dairy milk.
Do light excercise for two hours daily slowly without straining yourself.
Have plenty of fluids and water daily.